Acetate Dialysate Versus Bicarbonate Dialysate: A Continuing Controversy

American Journal of Kidney Diseases

Volumn 9, Issue 1, 1987, Pages 3-11

  Diamond, Susan M ^a   Henrich, William L ^a  

^a UNIVERSITY OF TEXAS   (United States)

Author keywords

acetate dialysis; bicarbonate dialysis; Dialysate buffer; dialysis; hypotension

Indexed keywords

ACETIC ACID; BICARBONATE; DIALYSIS FLUID;

CARDIOVASCULAR SYSTEM; HEMODIALYSIS; HUMAN; HYPOTENSION; KIDNEY; REVIEW; THERAPY;

EID: 0023092152     PISSN: 02726386     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0272-6386(87)80155-5     Document Type: Review

References (91)

1. Production and utilization of free acetate in man
2. Substitution of sodium acetate for sodium bicarbonate in the bath fluid for hemodialysis
3. Bicarbonate dialysis-So what?
4. Acetate or bicarbonate for hemodialysis?
5. Plasma acetate turnover and oxidation
6. Acetate metabolism in normal human subjects
7. Utilization of exogenous acetate during hemodialysis
8. Acid-base changes and acetate metabolism during routine and high-efficiency hemodialysis in children
9. Metabolic consequences of high mass-transfer hemodialysis
10. Acetate metabolism and high efficiency hemodialysis
11. Estimation of the metabolic conversion of acetate to bicarbonate during hemodialysis
12. Acetate versus bicarbonate in dialysis
13. Evidence that acetate in dialysate does not stimulate lipid synthesis
14. Effect of acetate on serum lipids in maintenance hemodialysis
15. Effects of dialysis on lipid metabolism in chronic renal failure-Acetate versus bicarbonate
16. Effects of hemodialysis with acetate vs bicarbonate on plasma lipid and lipoprotein levels in uremic patients
17. A double-blind controlled trial of acetate versus bicarbonate dialysate in ESRD
18. The effect of acetate and bicarbonate dialysis on orthostatic blood pressure regulation
19. Less dialysis-induced morbidity and vascular instability with bicarbonate dialysate
20. The effect of replacing acetate with bicarbonate in the dialysate of stable chronic hemodialysis patients
21. Reducing patient morbidity from high-efficiency hemodialysis: A double-blind crossover trial
22. Effects of acetate and bicarbonate dialysate in stable chronic dialysis patients
23. Comparison of acetate vs bicarbonate hemodialysis in acetate tolerant or intolerant patients
24. Comparison of acetate and bicarbonate dialysate in an out-patient dialysis unit
25. Acetate and bicarbonate fluctuations and acetate intolerance during dialysis
26. Incidence and significance of rising blood acetate levels during hemodialysis
27. Acetate, bicarbonate and hypotension during hemodialysis
28. Interrelationships between blood pressure, blood gases and plasma acetate concentrations during conventional hemodialysis
29. Predicting acetate intolerance and need for bicarbonate dialysis
30. Incidence of inappropriate metabolism of acetate in chronically hemodialyzed patients
31. Cardiac and vascular effects of infused sodium acetate in dogs
32. Acetate intolerance during hemodialysis
33. Intradialytic hypotension-Role of osmolar changes and acetate influx
34. Studies on circulatory stability during bicarbonate hemodialysis with constant dialysate sodium versus acetate hemodialysis with sequential dialysate sodium
35. Comparison of blood pressure stability with acetate and bicarbonate hemodialysis
36. Correction of hypotension early in dialysis by substitution of acetate with bicarbonate
37. Benefits of bicarbonate dialysis
38. Comparison of the hemodynamic response to hemodialysis with acetate or bicarbonate
39. Bicarbonate is not better than acetate in acute dialysis
40. Hypotension during acetate and bicarbonate dialysis in patients with acute renal failure
41. No relationship between acetate and hypotension in a standard dialysis schedule
42. Comparison of high and low sodium bicarbonate and acetate dialysis in stable chronic hemodialysis patients
43. The role of acetate in the etiology of symptomatic hypotension
44. Acetate and bicarbonate hemodialysis in patients with and without autonomic dysfunction
45. The influence of dialysis fluid composition on the blood pressure response during dialysis
46. Cardiovascular instability during hemodialysis
47. Randomized study of strategies to reduce hypotension and symptoms in hemodynamically unstable chronic hemodialysis patients
48. The chronic efficacy and safety of high sodium dialysate: Double-blind, crossover study
49. Effects of high sodium dialysate during maintenance hemodialysis
50. Blood pressure response to changes in serum ionized calcium during hemodialysis
51. Cardiac performance in chronic renal failure
52. A comparison of the cardiovascular effects of sodium acetate, sodium bicarbonate and other potential sources of fixed base inhemodialysate solutions
53. Depressant action of acetate upon the human cardiovascular system
54. Comparative effects of acetate and bicarbonate hemodialysis on left ventricular function
55. Acetate-induced myocardial depression during hemodialysis for acute renal failure
56. The effect of hyperacetatemia on cardiac output during regular hemodialysis
57. Hemodynamic changes during hemodialysis: Role of dialysate
58. Effects of acetate or bicarbonate hemodialysis on cardiocirculatory function and acid-base balance
59. Effects of hemodialysis on left ventricular function
60. Effects of acetate and bicarbonate hemodialysis on cardiac function in chronic dialysis patients
61. Comparative effects of bicarbonate and acetate dialysis on left ventricular function
62. Increased ionized calcium and left ventricular contractility during hemodialysis
63. Mechanisms of altered myocardiac contractility during hemodialysis: Importance of changes in the ionized calcium to plasma potassium ratio
64. Dialysis-induced hypoxemia
65. Profound neutropenia during the early phase of hemodialysis
66. Respiratory gas exchange during hemodialysis
67. Effects of microemboli in blood filtration during hemodialysis
68. Complement and leukocyte-mediated pulmonary dysfunction in hemodialysis
69. Hemodialysis leukopenia: Pulmonary vascular leukostasis resulting from complement activation by dialyzer cellophane membrane
70. Hemodialysis-associated neutropenia and hypoxemia: The effect of the dialyzer membrane materials
71. Hemodialysis hypoxemia: Evaluation of mechanisms utilizing sequential ultrafiltration-dialysis
72. Contrasting alterations in pulmonary gas exchange during acetate and bicarbonate hemodialysis
73. Leukopenia and hypoxemia: Unrelated effects of hemodialysis
74. Hypopnea associated with acetate hemodialysis: Carbon dioxide flow-dependent ventilation
75. A double-blind controlled trial of acetate versus bicarbonate dialysate
76. Prevention of dialysis induced hypoxemia with bicarbonate dialysate-Role of acetate in etiology
77. Hemodynamic changes during acetate and bicarbonate hemodialysis
78. Respiratory gas exchange by high-efficiency hemodialyzers
79. High sodium bicarbonate and acetate hemodialysis: Double-blind crossover comparison of hemodynamic and ventilatory effects
80. Prevention of dialysis-induced hypoxemia by bicarbonate dialysis
81. Gas exchange during dialysis: Contrasting mechanisms contribution to comparable alteration with acetate and bicarbonate buffers
82. 3, and sequential ultrafiltration and dialysis
83. Arterial oxygenation during hemodialysis
84. 2 across the dialyzer
85. 2 in metabolism of acetate as an explanation for hypoventilation and hypoxemia during hemodialysis
86. Prevention of hypoxemia during dialysis by the use of sequential isolated ultrafiltration-diffusion dialysis with bicarbonate dialysate
87. High bicarbonate dialysate: The acid-base and respiratory effects in chronic hemodialysis patients
88. Hypoxemia during hemodialysis using acetate versus bicarbonate dialysate
89. Detrimental effects of increasing dialysate bicarbonate on dialysis vascular stability
90. Longitudinal comparison between acetate and bicarbonate hemodialysis
91. Acid-base balance in dialysis patients